Bronchogenic cyst

Discussion:

The patient underwent excision of the sbcarinal mediastinal cystic lesion via video-assisted thoracoscopic surgery (VATS). 

Gross: Specimen consists of multiple fragments of cyst wall measuring in aggregate 3.0 x 2.0 cm and 0.4 cm in thickness. Sectioning shows grey-red soft hemorrhagic cut surface.

Microscopy: Sections show cyst wall lined by ciliated pseudo-stratified columnar to cuboidal cells and within the wall there are scattered mucinous glands, fibrosis, smooth muscles and scattered lymphoid follicles.   

Diagnosis: Bronchogenic cyst.

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